Provider First Line Business Practice Location Address:
MOUNTAINSIDE TREATMENT CENTER
Provider Second Line Business Practice Location Address:
187 RT 7 SOUTH CANAAN RD
Provider Business Practice Location Address City Name:
CANAAN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-632-1397
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/05/2022